Bingham Memorial Skilled Nursing & Rehabilitation - Blackfoot Nursing Home
General Information
UPDATEFederal Provider Number
135007
Provider Name
BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION
Provider Address
98 POPLAR STREET
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
Provider Phone Number
(208) 785-4101
Provider SSA County
50
Provider County Name
Bingham
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BMH, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61026
Reported LPN Staffing Hours per Resident per Day
0.95769
Reported RN Staffing Hours per Resident per Day
1.00897
Reported Licensed Staffing Hours per Resident per Day
1.96667
Reported Total Nurse Staffing Hours per Resident per Day
4.57692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25641
Expected CNA Staffing Hours per Resident per Day
2.48446
Expected LPN Staffing Hours per Resident per Day
0.72766
Expected RN Staffing Hours per Resident per Day
1.43977
Expected Total Nurse Staffing Hours per Resident per Day
4.65188
Adjusted CNA Staffing Hours per Resident per Day
2.57794
Adjusted LPN Staffing Hours per Resident per Day
1.09239
Adjusted RN Staffing Hours per Resident per Day
0.52363
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96595
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
184
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
92
Cycle 2 Total Health Score
276
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
128.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
2470
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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